go back

Kansas rates for HCPCS 90698

Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.32 / $645.17 / $1,168.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.54 / $127.55 / $157.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.33 / $150.13 / $158.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.32 / $143.32 / $143.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.47 / $134.47 / $134.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.47 / $134.47 / $134.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.20 / $132.81 / $156.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.22 / $134.99 / $144.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.06 / $134.99 / $144.07